Individual
SOO IN AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1000 BALD HILL RD, WARWICK, RI 02886-0506
(401) 822-1866
Mailing address
31 BEACH ST APT 805, BOSTON, MA 02111-1603
(857) 265-9292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03617
RI
122300000X
Dentist
DN1859464
MA
Other
Enumeration date
06/06/2022
Last updated
07/12/2022
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